ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
Which laboratory test is the most accurate indicator of a client's renal function?
Correct Answer: B
Rationale: The correct answer is B: Creatinine clearance. Creatinine clearance is the most accurate indicator of renal function because it measures the rate at which the kidneys filter creatinine from the blood. This test provides a direct assessment of the glomerular filtration rate, which reflects overall kidney function. A: Blood urea nitrogen is influenced by factors other than renal function, such as protein intake and liver function, making it less specific for assessing renal function. C: Serum creatinine is commonly used to estimate renal function, but it can be affected by factors like muscle mass and hydration status, leading to potential inaccuracies. D: Urinalysis provides valuable information about kidney health but does not directly measure the filtration capacity of the kidneys like creatinine clearance does.
Question 2 of 5
A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to splint the incision. Splinting the incision while coughing or deep breathing can help reduce pain by providing support to the surgical site and minimizing strain on the incision. This technique promotes healing and prevents complications such as wound dehiscence. Calling the primary health care provider for more analgesia (A) should be a last resort after non-pharmacological interventions have been tried. Having the client take shallower breaths (C) may lead to respiratory complications. Telling the client that a little pain is expected (D) does not address the issue or provide a solution to alleviate the discomfort.
Question 3 of 5
A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met?
Correct Answer: B
Rationale: Step-by-step rationale for why Choice B is correct: 1. No redness, warmth, or drainage at the insertion site indicates absence of infection or complications related to the drain. 2. This assessment signifies that the drain is functioning properly and there is no leakage or signs of infection. 3. It shows that the surgical wound and the drain site are healing well. 4. Monitoring for signs of infection or complications at the insertion site is crucial in postoperative care. 5. Therefore, Choice B is the correct answer as it indicates successful management of the client's abdominal drain.
Question 4 of 5
A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?
Correct Answer: A
Rationale: The correct answer is A: Pruritus. Niacin commonly causes skin flushing and itching, known as pruritus, due to prostaglandin release. Flushing is a well-known side effect of niacin. Cutaneous flushing is a more common side effect than pruritus. Tinnitus (choice C) and urine with a burnt odor (choice D) are not typically associated with niacin use. Cutaneous flushing (choice B) is a common side effect of niacin, but pruritus is the specific adverse effect related to skin itching. Therefore, the correct answer is pruritus.
Question 5 of 5
A patient recovering from a myocardial infarction (MI) develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take as focused follow-up on this symptom?
Correct Answer: C
Rationale: The correct answer is C: Auscultate for a pericardial friction rub. Chest pain increasing with deep breaths and relieved by leaning forward is indicative of pericarditis, a common complication post-MI. Auscultating for a pericardial friction rub can help confirm this diagnosis. Assessing pedal edema (A) is unrelated to the presenting symptom. Palpating radial pulses (B) is not relevant to pericarditis. Checking the heart monitor for dysrhythmias (D) may be important but does not address the specific symptom of pericarditis in this case.